Scott Medical Supply Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

020852400 Issued in OH

Legal business name

SCOTT MEDICAL SUPPLY INC

Practice address

4420 Taylorsville Road
Huber Heights, OH 45424

Phone

(937) 235-5366

Fax

(937) 235-0558

NPI assigned

Jun 25, 2006

Last updated

Jan 4, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gregory Michael Hatfield

Title

Owner

Phone

(937) 235-5366

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1164458535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 TAYLORSVILLE ROAD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "45424",
            "telephone_number": "937-235-5366",
            "fax_number": "937-235-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 TAYLORSVILLE ROAD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "45424",
            "telephone_number": "937-235-5366",
            "fax_number": "937-235-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-235-5366",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OH",
            "license": "020852400",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0887072",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000016766",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kathryn M. Seals, LPN
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• Oxygen Equipment & Supplies (DME) in Huber Heights, OH
• Providers in Huber Heights, OH by specialty
• Oxygen Equipment & Supplies (DME) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.